COMMUNITY CARE CMHC CORP NPI 1578562609

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Hialeah, FL

NPI 1578562609 Organization Clinic/Center Mental Health (Including Community Menta...

About COMMUNITY CARE CMHC CORP

Community Care Cmhc Corp is a provider established in Hialeah, Florida specializing in clinic/center (mental health (including community mental health center)) . The NPI number of Community Care Cmhc Corp is 1578562609 and was assigned on July 2005. The practitioner's primary taxonomy code is 261QM0801X with license number 8011-4121 (FL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Ms. Jenny Pi Ms (Director)

NPI

1578562609

Provider NameCOMMUNITY CARE CMHC CORP
Provider Location Address1723 W 37TH ST STE 2 HIALEAH, FL 33012
Provider Mailing Address1723 W 37TH ST STE 2 HIALEAH, FL 33012
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date07-20-2005
Last Update Date01-14-2011


Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License No.8011-4121
License StateFL

Business Address

COMMUNITY CARE CMHC CORP
1723 W 37TH ST
STE 2
HIALEAH, FL
ZIP 33012
Phone: (305) 826-8588
Fax: (305) 822-6710

Get Directions


Mailing Address

COMMUNITY CARE CMHC CORP
1723 W 37TH ST
STE 2
HIALEAH, FL
ZIP 33012
Phone: (305) 826-8588
Fax: (305) 822-6710



Authorized Official

Authorized Official NameMS. JENNY PI MS
Authorized Official TitleDIRECTOR
Authorized Official Phone(305) 826-8588

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
101455MEDICARE ID-TYPE UNSPECIFIED (04)FL

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548495203PROF. MARLA RODRIGUEZ LMHC
Individual
Counselor (Mental Health)1723 W 37TH ST SUITE 2
HIALEAH, FL 33012
(305) 607-4643
1649507765COMMUNITY CARE CMHC CORP
Organization
Social Worker (Clinical)1723 W 37TH ST STE 2
HIALEAH, FL 33012
(305) 826-8588
1659506533PROF. MERCEDES GARCIA-RICO LMHC
Individual
Counselor (Mental Health)1723 W 37TH ST SUITE 2
HIALEAH, FL 33012
(305) 776-5161

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.